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SEISMIC SCREENING CHECKLIST Reviewer Nama
<br />Total Bldg. Sq, Ft.
<br />Agehcy Tdtai Lease Sq. Ft.,—
<br />L6cat{pn,;
<br />.. Hours of Use
<br />1 Retrofit'since 1976
<br />No furtherscreening required 1f documentation of retroflt is provided.
<br />2 AC
<br />Ty
<br />a. of 6ullaing A
<br />pe of Con'stru'ctlon
<br />Tilt-U
<br />pre 1933
<br />5
<br />1933 to 1976
<br />u . Fes; ;P m
<br />ea .i v 9.^.. 1
<br />Post 1976
<br />�nIaQ... w
<br />RiAT
<br />Score
<br />Masonr
<br />10
<br />..:'
<br />Reinforced Concrete
<br />7
<br />5
<br />1
<br />Wood Frame
<br />3
<br />2
<br />1
<br />Steal
<br />7
<br />3
<br />1
<br />11
<br />3.Heght:of,l3u1101ilg'.I,!1.S�Griss-;':',,'.,:r_�-:;,:..!, ..�.
<br />Max, number of stories allowable for screening Is6, Asslgnonepornt
<br />Par story, I.e., f min„ 6max, (1-g) 4
<br />Asaign points as Indlcated forcountias as grouped in a, b, & c below
<br />(a) 12 points In Los Angeles, West 1/3 of San Bernardino, 12
<br />Contra Costa, Riverside, Santa Clara, Alameda, Ventura,
<br />San Francisco, Marin
<br />(b) 0 points In Sonoma, Santa Barbara, San Mateo, 9 g
<br />Orange, San Diego, Inyo, San Luis Obispo, Napa, Kern,
<br />Monterey, Solano, Humboldt, Mendocino
<br />(c) 3 points to all other counties not listed above. 3
<br />6:C'oriflsauraE1an'.(V.ert'id'ati7
<br />t10
<br />��
<br />��A1TR16p �lamam �®®
<br />T / J�
<br />d
<br />5 a 7 90 7 1 7
<br />All other configurations 1
<br />6 Conflguratlon,(Plan Vlaw).
<br />END iH L
<br />1 3 7 7 7 7
<br />7 Visible Defects
<br />Subjective scoring: 10 paints max, assignable for alldefects
<br />observed. The following list Is of typical things to look lot
<br />a Dry rot; look for water stains on ceiling tiles end walls,
<br />b Damaged foundations; look for large cracks and misalignment
<br />c Sagging or shifted beams; look for bowing in center, check for
<br />position (parallel) relative to other members
<br />d Tilted walls or columns
<br />e Corrosion of steel; look for rust, flaking, etc. Check for water stains,
<br />If Cracks greater than 118" in masonry or concrete
<br />g Check for any material that crumbles (wood, plaster, conc., etc) (1.10)
<br />TOTAL 28
<br />Total score of 20 orabove requires standard seismic certification.
<br />Capy 015eisimu rneekl,abe�h,a�,we
<br />80A-291
<br />
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